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Postpartum Care Utilization Among Emergency Medicaid Recipients

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References

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Funding

REDcap through Oregon Health and Science University (OHSU) was utilized for this study and as such this research was supported by National Center for Advancing Translational Sciences of the National Institutes of Health under award number UL1TR0002369. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Authors and Affiliations

  1. Department of Obstetrics & Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA

    Suzanne Funkhouser, Kimberley A. Bullard, Alyssa R. Hersh, Karen S. Greiner & Maria I. Rodriguez

Authors
  1. Suzanne Funkhouser
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  2. Kimberley A. Bullard
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  3. Alyssa R. Hersh
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  4. Karen S. Greiner
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  5. Maria I. Rodriguez
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Corresponding author

Correspondence to Maria I. Rodriguez.

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Conflict of interest

Dr Rodriguez has received research funding from the NIH, Arnold Ventures, WHO and Merck. She has served as a contraceptive trainer for Merck, Bayer. All other authors have no conflicts.

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Appendix: Survey

Appendix: Survey

Demographics

  1. 1.

    Age ______

  2. 2.

    Insurance

    • Oregon Health Plan (Medicaid)

    • Citizen/Alien Waived Emergent Medical Care (CAWEM)

    • Uninsured

    • Other

  3. 3.

    Due date _____

  4. 4.

    Number of children ________

  5. 4a.

    If they have children, date of last child’s birth __________

  6. 5.

    Have you received all of your prenatal care at this clinic? (yes/no)

  7. 6.

    How many prenatal visits have you had this pregnancy? ____

  8. 7.

    Have you received any prenatal care this pregnancy outside of Oregon? (yes/no)

  9. 8.

    Which hospital do you plan to deliver at?

Knowledge

  1. 8.

    Having pregnancies that are less than 18 months apart has health risks for both the woman and her child. (true/false)

  2. 9.

    A woman can get pregnant as soon as three weeks after a pregnancy ends if she is not using contraception. (true/false)

  3. 10.

    A postpartum visit, including the contraceptive method of my choice, is available without charge to me. (true/false)

Plans

  1. 11.

    Do you plan to attend a postpartum visit within six weeks of your child’s birth? (yes/no)

  2. 11a.

    What information is most important to you in a postpartum visit?

    • Make sure I have healed physically from giving birth

    • Help with breastfeeding

    • Contraception

    • Information on my baby’s health and development

    • Other_______________

  3. 12.

    If you do not plan to attend a postpartum visit, can you tell me why?

    • It isn’t necessary

    • It is too expensive

    • I don’t have transportation to attend

    • I don’t have childcare

    • My insurance won’t pay for it.

    • Other___________________.

  4. 13.

    Do you plan to use contraception within six weeks after you give birth? (yes/no).

  5. 14a.

    If yes, which method? Select one

    • IUD

    • Implant

    • Injection

    • Pill/patch/ring

    • Tubal ligation

    • Vasectomy

    • Condoms

    • Other

  6. 15b.

    If you don’t plan to start contraception within six weeks of giving birth, can you tell me why?

    • I want to get pregnant again as soon as possible

    • I won’t be sexually active or at risk for pregnancy

    • It is too expensive/my insurance doesn’t cover it

    • I worry it isn’t safe to use

    • Breastfeeding will protect me against pregnancy

    • Other________

  7. 16.

    Would it be ok if we contacted you after your baby is born to find out about your experience with postpartum care? You would be compensated for your time. (yes/no)

    • If yes, please indicate preferred method of contact:

    • Email

    • Phone

    • Mail

  8. 18.

    We are interested in interviewing women to learn more about their barriers to health care during pregnancy, in particular women who are immigrants to this country.

    • Do you know people in your community who are afraid to access prenatal or postpartum care because of concerns about their immigration status? (yes/no)

    • If yes, and you think they would be willing to speak to us confidentially about their experiences with healthcare in Oregon, would you be willing to give them our contact information? We would want to conduct a 30-min interview, and would not collect any personal information. They would be compensated for their time.

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Funkhouser, S., Bullard, K.A., Hersh, A.R. et al. Postpartum Care Utilization Among Emergency Medicaid Recipients. J Immigrant Minority Health 23, 1121–1125 (2021). https://doi.org/10.1007/s10903-021-01188-6

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  • DOI: https://doi.org/10.1007/s10903-021-01188-6

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